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Individual

JONATHON M BARRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
4720 MOORE RD, MIDDLETOWN, OH 45042-3952
(937) 217-7127
Mailing address
4720 MOORE RD, MIDDLETOWN, OH 45042-3952
(937) 217-7127

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
16986
OH

Other

Enumeration date
05/05/2009
Last updated
05/05/2009
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